National Provider Identifier

Mark S Ryan, M.D.

Mark S Ryan, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Geneva, NY and a listed phone number of (315) 787-5100.

NPI 1679667513Geneva, NYInternal Medicine Physician

Profile Overview

NPI
1679667513
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
October 03, 2006
Last Updated
June 28, 2010

Practice Location

  • 200 North St
  • Suite 101
  • Geneva, NY 14456-1561

Phone: (315) 787-5100

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1679667513
Entity Type
Individual
Last Name
Ryan
First Name
Mark
Middle Name
S
Credential
M.D.
Mailing Street Address
200 North St
Mailing Address Line 2
Suite 101
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-1561
Mailing Country
US
Mailing Phone
(315) 787-5100
Mailing Fax
(315) 787-5108
Practice Street Address
200 North St
Practice Address Line 2
Suite 101
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-1561
Practice Country
US
Practice Phone
(315) 787-5100
Practice Fax
(315) 787-5108
Enumeration Date
October 03, 2006
Last Updated
June 28, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
1072637 (NY), 164272-7 (NY, Workers Comp), 102496BJ (NY, Preferred Care), P00003457 (NY, R.R. Medicare), 2593569 (NY, Ghi), P010164272 (NY, Blue Cross)